Mrs Alba Nidia Casco, NURSE PRACTITIONER | |
855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 | |
(619) 426-0100 | |
(619) 426-2170 |
Full Name | Mrs Alba Nidia Casco |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 855 3rd Ave Ste 2200, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689066490 | NPI | - | NPPES |
95001957 | Other | CA | MEDICAL LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 95001957 (California) | Primary |
Entity Name | La Maestra Family Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901 |
Mailing Address | Practice Location Address |
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Mrs Alba Nidia Casco, NURSE PRACTITIONER 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 Ph: (619) 426-0100 | Mrs Alba Nidia Casco, NURSE PRACTITIONER 855 3rd Ave Ste 2200, Chula Vista, CA 91911-1353 Ph: (619) 426-0100 |
Marvin Leon Gale, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 E Street, Chula Vista, CA 91910 Phone: 619-425-3951 | |
Dr. Ricardo A Indacochea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 858-499-2600 | |
Mrs. Roxane M. Santiago, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, Suite 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337 | |
Ernest Flores, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 | |
Jonas Ludivero Bernal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Naples St, Chula Vista, CA 91911 Phone: 619-744-5355 | |
Dr. Miguel A Cordoba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 | |
Dr. Azar Hamedaninia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 865 3rd Ave, #101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-4953 |